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Individual

MRS. KAREN RAE DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4112 OUTLOOK BLVD, ROOM 342, PUEBLO, CO 81008-1667
(719) 553-1021
(719) 553-1104
Mailing address
1108 W BROKEN BOW DR, PUEBLO WEST, CO 81007-2073
(719) 647-1211
(719) 553-1104

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 81812
CO

Other

Enumeration date
02/08/2006
Last updated
07/08/2007
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